ATI RN
Chapter 41 Oxygenation NCLEX Questions Questions
Question 1 of 5
The nurse is teaching a client with cystic fibrosis about pancreatic enzyme replacement therapy. When should the client take the enzymes?
Correct Answer: A
Rationale: The correct answer is A: Before meals and snacks. This is because pancreatic enzymes need to be taken with food to aid in digestion. Taking enzymes before meals ensures they can mix with food in the stomach and help break down fats, proteins, and carbohydrates. Option B (At bedtime only) is incorrect as enzymes should be taken with meals to be effective. Option C (On an empty stomach) is incorrect because enzymes need food to digest. Option D (Every 6 hours, regardless of meals) is incorrect as enzymes should be taken with each meal to optimize digestion.
Question 2 of 5
A client with asthma is prescribed a corticosteroid inhaler. What should the nurse emphasize in client teaching?
Correct Answer: B
Rationale: The correct answer is B: Rinse your mouth after each use to prevent thrush. This is crucial because corticosteroid inhalers can increase the risk of developing oral thrush due to their effect on the oral mucosa. Rinsing the mouth after each use helps remove any medication residue and reduces the risk of fungal infections. Option A is incorrect as corticosteroid inhalers are maintenance medications, not just for asthma attacks. Option C is incorrect because bronchodilators should be used before corticosteroid inhalers. Option D is incorrect as there is no need to specifically increase fluid intake after using the inhaler.
Question 3 of 5
After the nurse has received a change-of-shift report, which patient should the nurse assess first?
Correct Answer: C
Rationale: The nurse should assess the patient with possible lung cancer who has just returned after bronchoscopy first because this patient may be at risk for complications such as bleeding, respiratory distress, or infection post-procedure. Assessing this patient promptly allows for early identification and intervention if any issues arise. The other choices present conditions that may require assessment but do not have the immediate post-procedure risk associated with bronchoscopy. The patient with pneumonia (choice A) may need assessment for respiratory status, but the urgency is lower than the post-bronchoscopy patient. The patient with chronic bronchitis (choice B) may require monitoring, but the low forced vital capacity does not indicate an acute issue. The patient with hemoptysis and a positive tuberculin skin test (choice D) may need further evaluation for tuberculosis, but the immediate risk is lower than the post-bronchoscopy patient.
Question 4 of 5
The nurse is teaching a patient about home care following discharge after a thoracentesis. Which statement by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because lifting anything heavier than 20 pounds can strain the area where the thoracentesis was performed, leading to complications like bleeding or pain. A: Indicates awareness of potential respiratory issues. B: Rest is essential for recovery. D: Monitoring for signs of infection at the site is crucial. It's important for the patient to understand and follow all post-procedure instructions to ensure proper healing and prevent complications.
Question 5 of 5
The nurse is preparing a patient for a thoracentesis. Which action is appropriate?
Correct Answer: C
Rationale: The correct answer is C: Position the patient sitting upright and leaning forward on a table. This position allows for easier access to the thoracic cavity and helps prevent potential complications such as pneumothorax. Prone position (A) makes access difficult, NPO for 8 hours (B) is unnecessary for this procedure, and Trendelenburg position (D) can increase the risk of aspiration.